Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leah Gail Jacob, LICSW

Individual provider Clinical Social Worker · NPI 1891225439

Leah Gail Jacob, LICSW is a Clinical Social Worker in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3450 Oleary Ln
Eagan, MN 55123-2340
Phone: (651) 365-8279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24285 (MN)

Record details

NPI number1891225439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESJuly 21, 2022

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